Loading...
HomeMy WebLinkAboutForm 460 - Barbara Heller for City Council (2013-12-31) TerminationCommittee ,ercipteni Campaign Statement Cover Page (Government Code Sections 84200-84216.5) Type or print in ink. Statement covers period Date of election if applicable: (Month, Day, Year) from INSTRUCTIONS ON REVERSE through/A�* SEE 1. Type of Recipient Committee: All Committees - Complete Parts 1, 2, 3, and 4. Officeholder, Candidate Controlled Committee Primarily Formed Ballot Measure r-) State Candidate Election Committee Committee 0 Recall 0 Controlled (Also Complete Part 5) 0 Sponsored (Also complete Part 6) General Purpose Committee (D, Sponsored Primarily Formed Candidate/ 0 Small Contributor Committee Officeholder Committee 0 Political Party/Central Committee (Also complete Part 7) 3. Committee Information I.D. NUMBER 1 *3 COMMITTEE NAME (OR CANDIDAANAME IF NO COM STREET ADDRESS (NO P.O. BOX) & ) CITY SfATE ZIP CODE AREA CODE/PHONE i000�'_4 L& t4 4 of MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX CITY STATE ZIP CODE AREA CODEIPHONE OPTICNAL, FAX i E-MAIL ADDRESS 0J Type of Statement. - [] Preelection Statement 71, Semi-annual Statement Termination Statement (Also file a Form 410 Termination) Amendment (Explain below) Quarterly Statement Special Odd -Year Report El Supplemental Preelection Statement - Attach Form 495 OP -1 IONAL-1 FAX / E-MAIL ADDRESS 4. Verification I have used all reasonable diligence in preparing and reviewing this statement and to the best of my knowledge the information contained herein and in the attached schedules is true and complete. I certify under penalty of perjury under the laws of the State of California that the foregoing is true and correct. Executed on By SiqnaUire of Treasurer or Assistant Tneasure` Executedi on _78te � L Executed on. Date Executed on Date V By ure of Controlling Officetfol6er Candidate, State Measure Proponten! or Resp,:;nsible Off-tcer opcnsor By Sjgnot uire of Contmifing Officehober,C_ar.dKiate, State Measure Proponfen' By SiVr""1_*-jre ef� Controfl,ng 0t.lcehcldler, Candj(1�,Ae, State Mleasure FPPC Form 460 (Januaty/05) FPPC Toll -Free Helpline- 8661ASK-FPPC (866(275-34772) State of California Type or print in ink, Recip lent Committee Campaign Statement Cover Page — Part 2 5. Officeholder or Candidate Cohtrolled Committee NAME OF OFFICEHOLDER OR CANDIDATE J0 OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) RESIDENTIAU13USINESS ADDRESS (t ' QO. AND 'STREET) CITY STATE ZIP % , - w� R / Related Committees Not Included in this Statement: List any committees not included in this statement that are controlled by you or are primarily formed to receive contributions or make expenditures on behalf of your candidacy_ COMMITTEE NAME I.D. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? YES No COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODEIPHONE COMMITTEE NAME I.D. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? E] YES NO (-nmmITTPF Anf-)RFSS STRFFT ADORFSS (NO P-0. BOX) 6. Primarily Formed Ballot Measure Committee NAME, OF BALLOT MEASURE COVER PAGF- - PAW 2 Page of (/ I BALLOT NO. OR LETTER JURISDICTION [] SUPPORT I F] OPPOSE Identify the controlling officeholder, candidate, or state measure proponent, if any. NAME OF OFFICEHOLDER. CANDIDATE. OR PROPONENT OFFICE SOUGHT OR HELD DISTRICT NO. IF ANY 7. Primarily Formed Ca nd 1 date/Office holder Committee List names of officeholder(s) or candidate(s) for which this committee is primarily formed_ NAMEOF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD E] SUPPORT E]OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD [j SUPPORT OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD SUPPORT OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD E] SUPPORT OPPOSE CITY STATE ZIP CODE AREA CODE/PHONE Attach continuation sheets if necessary FPPC For 460 (January/05) FPI_aToH-Free Helphne-86rG/ASK-FPPC (8661275-3-177211 State of California Contributions Received Column A TOTALTHISPERIOD (FROM ATTACHED SCHEDULES) 1. Monetary Contributions ........................................... Schedule A, Line 3 $ $ 2. Loans Received ...................................................... Schedule B, Line 3 3. SUBTOTAL CASH CONTRIBUTIONS ......................... Add Lines 1 + 2 $ $ 4. Nonmonetary Contributions .................................... Schedule C. Line 3 5. TOTAL CONTRIBUTIONS RECEIVED ........................... Add Lines 3 + 4 $ 6. Payments Made ....................................................... Schedule E, Line 4 7. Loans Made ............................................................. Schedule H, Line 3 8. SUBTOTAL CASH PAYMENTS .................................... Add Lines 6 + 7 9. Accrued Expenses (Unpaid Bills) .............................. Schedule F, Line 3 10. Nonmonetary Adjustment .......................................... Schedule C, Line 3 11. TOTAL EXPENDITURES MADE ................................ Add Lines 8 + 9 + 1© Current Cash Statement 12. Beginning Cash Balance ....................... Previous Summary Page, Line 16 13. Cash Receipts ................................................... Column A, Line 3 above 14. Miscellaneous Increases to Cash .......................... Schedule /, Line 4 15. Cash Payments .................................................. Column A, Line 8 above 16. ENDING CASH BALANCE ......... Add Lines 12 + 13 + 14, then subtract Line 15 ff this is a termination statement, Line 16 must be zero. L" s %S0 ?9.3 54t s Cash Equivalents and Outstanding Debts 18. Cash Equivalents ........................................ see instructions on reverse $ 19. Outstanding Debts Column B M Calendar Year Summary for Candidates Running in Both the State Primary and General Elections 111 through 6/30 7/1 to Date 20. Contributions Received $ $ 21. Expenditures Made $ $ Expenditure Limit Summary for State Candidates 22. Cumulative Expenditures Made* (if Subject to Voluntary Expenditure Limit) Date of Election Total to Date (mm/dd/yy) To calculate Column B, add amounts in Column A to the corresponding amounts *Amounts in this section may be different from amounts from Column B of your last reported in Column B. report. Some amounts in Column A may be negative figures that should be subtracted from previous period amounts. If this is the first report being filed for this calendar year, only carry over the amounts from Lines 2, 7, and 9 if any). FPPC For 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275-3772) -Schedule D Summary of Expenditures S u pporting/Oppos ing Other Candidates, Measures and Committees SEE INSTRUCTIONS ON REVERSE NAME OF FILER do 1,0*,7 lr*71 4 # I L2, Ife., e 1,0 V I 0-M NAME OF CANDIDATE, OFFICE, AND DISTRICT, C. = MEASURE NUMBER OR LETTER AND JURISDICTIOI`� OR COMMITTEE Type or print in ink. Statement covers period Amounts may be rounded to whole dollars. from .3 through �`3Page - — of I.D. NUMBER r_'c�.�,f' %o�.✓ �9frh"i� �. � C'ou.✓e! . i 930 � 88 TYPE OF PAYMENT DESCRIPTION I (IF REQUIRED) Monetary 1�a0/l3 %—�2��v1s �-� Contribution ala-�?�' � F:6 YO 1, E] Nonmonetary .. /9 R1✓O � d- Sar Contribution [:] Independent Surmort 1-1 Ormose Expenditure f.Q/E,UOs oar � �o/.:+'Fo»e ff (14 � 1��3 � , t� C�owa� Support ❑ Oppose '�'��I e ft �O iYI � I �18 'I �'ounl /cam f-� o,✓ Support El Oppose Monetary I Contribution 00 r A , Nonmonetary Contribution E] Independent Expenditure CUMULATIVE TO DATE PER EII LECI II TION AMOUNT THIS CALENDAR YEAR TO DATE PERIOD (JAN. I - DEC. 31) (IF REQUIRED) Monetary .00f A /4OW Contribution Nonmonetary Contribution Z44) 404 Independent Expenditure SUBTOTAL Schedule D Summary 1. Itemized contributions and independent expenditures made this period. (Include all Schedule D subtotals.) ......................................................... 2. Unitemized contributions and independent expenditures made this period of under $100 ..................................................................................... 3. Total contributions and independent expenditures made this period. (Add Lines 1 and 2. Do not enter on the Summary Page.) ............ TOTAL FPPC i -vi -m 4bU (,;ca. Wviry/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275-3772)